Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM MARIE WATERHOUSE, M.D.
ActiveKIM MARIE WATERHOUSE, M.D. is a Pediatric Allergy/Immunology healthcare provider located in O FALLON, Missouri. NPI 1730384322 is currently active in the NPPES registry. Verify at CMS.
Pediatric Allergy/Immunology · O FALLON, MO
Registration Details
- NPI Number
- 1730384322
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2007 (19.168659501619 yrs)
- Last Updated
- Aug 28, 2025
- Licenses
-
2009005694 (MO)2009005694 (MO)2009005694 (MO)
Practice Information
- Address
-
1101 HIGHWAY KO FALLON, MO, 633668431Browse MO providers · Browse ZIP 63366
- Phone
- 6363796363
- Fax
- 6363791297
- Primary Specialty
-
Pediatric Allergy/Immunology
2080P0201X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatric Allergy/Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.